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Summary of Significant Accounting Policies (Tables)
6 Months Ended
Jun. 30, 2020
Accounting Policies [Abstract]  
Accounts Receivable, Allowance for Doubtful Accounts
The estimates and write-offs for the allowance for doubtful accounts for each reporting period were as follows:
June 30, 2020June 30, 2019
Balance, beginning of year$7,782  $4,266  
Provision for bad debts5,578  3,859  
Amounts written off(4,015) (1,251) 
Balance, end of period$9,345  $6,874  
Schedules of Revenue by Customer
Revenues from Medicare and Medicaid as percentages of the Company's traditional revenue streams, excluding COVID-19 response sales, for the three and six month periods ended June 30, 2020, were as follows:

Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Medicare Revenues57 %61 %61 %61 %
Medicaid Revenues%%%%
Total Medicare and Medicaid66 %69 %70 %69 %
Schedule of Estimated Useful Lives
The estimated useful lives of the property and equipment are as follows:
DescriptionEstimated Useful Lives
Medical Equipment
1 - 10 Years
Computer Equipment5 Years
Office Furniture & Fixtures
5 - 10 Years
Leasehold ImprovementsShorter of Useful Life or Lease
Vehicles5 Years
Building
15 - 39 Years
LandIndefinite Life
The following table details the Company’s fixed assets:
June 30, 2020December 31, 2019
Medical equipment$59,211  $56,202  
Furniture and equipment2,468  2,350  
Land2,138  2,138  
Buildings6,304  6,351  
Leasehold improvements290  301  
Vehicles953  1,110  
Less: Accumulated depreciation(16,277) (13,680) 
Property and equipment, net of accumulated depreciation$55,087  $54,772  
Schedule of Revenue by Source
The revenues from each major source are summarized in the following table:
Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Revenue from rentals under Topic 842
    Ventilator rentals, non-invasive and invasive$19,918  $17,573  $38,710  $33,777  
    Other durable medical equipment rentals2,404  1,218  4,535  2,015  
Revenue from sales and services under Topic 606
    Equipment and supply sales
540  1,075  2,072  1,853  
    COVID-19 response sales(1)
19,712  —  20,753  —  
    Service revenues
280  459  590  795  
Total Revenues$42,854  $20,325  $66,660  $38,440  
(1) See Management's Discussion and Analysis for further discussion.